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Senior Medical Collections Specialist

South Florida Critical Care Services, LLC

South Florida Critical Care Services, LLC is seeking a full-time Senior Medical Collections Specialist to support physician billing and collections for medical claims.

The role focuses on resolving claim denials, managing follow-up with insurance companies, and working with corrected claims, reconsiderations, and appeals in a fast-paced clinical billing environment.

Requirements & Qualifications

Requirements

  • Minimum of 3 years of experience in medical collections
  • Experience with physician billing and collections of medical claims (CMS-1500 / form 1500)
  • Understanding of Explanation of Benefits (EOBs), claim denials, and reason codes
  • Knowledge of CMS claim processing guidelines for corrected claims, reconsiderations, and appeals
  • Ability to communicate effectively with insurance companies and use online portals
  • Strong documentation and follow-up skills
  • Ability to multitask, work independently, and function as a team player
  • Strong verbal, reading, and writing skills
  • Self-motivated, meticulous, and organized
  • Proficiency with Microsoft Word and Excel
  • High school diploma or equivalent preferred
Benefits & Perks

Benefits

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Benefits begin the first of the month following 60 days of employment

Location

Miami, Florida, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

2 weeks ago

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